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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Infection History
Item count: 10 (10 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C08096
Influenza vaccine history indicator
InfluenzaVaccineHistInd
Indicator of whether the participant/subject has ever received an influenza vaccination
Have you ever received an influenza vaccination?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If No is answered, skip to question #3 - Have you ever had pneumonia that was diagnosed by a physician?
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Influenza vaccine history indicator
 
Single Pre-Defined Value Selected
       
C08097
Influenza vaccine first receive age value
InfluenzaVaccine1stRecvdAgeVal
Age participant/subject received his/her first influenza vaccination
At what age did you receive the first influenza vaccination?
  
Numeric Values
Only answer if 'Yes' is answered for 'Have you ever received an influenza vaccination?' Age can be collected in years but should be converted to months for data sharing purposes.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Influenza vaccine first received age value
 
Free-Form Entry
  
year
    
C08098
Influenza vaccine received frequency
InfluenzaVaccineRecvdFreq
Since the participant's/subject's first vaccination, how often does he/she receive the influenza vaccination?
Since your first vaccination, how often do you receive the influenza vaccine?
Every year or almost every year;Every 2 to 3 years;Every 4 to 5 years;Less frequently than every 5 years;
Every year or almost every year;Every 2 to 3 years;Every 4 to 5 years;Less frequently than every 5 years;
Alphanumeric
No additional instructions
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Influenza vaccine received frequency
 
Single Pre-Defined Value Selected
       
C08099
Pneumonia history indicator
PneumoniaHistInd
Indicator of whether the participant/subject has ever had pneumonia diagnosed by a physician
Have you ever had pneumonia that was diagnosed by a physician?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If No is answered, skip to question #4
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Pneumonia history indicator
 
Single Pre-Defined Value Selected
       
C08100
Pneumonia episode age value
PneumoniaEpisdAgeVal
Participant's/subject's age at the time of the pneumonia episode
For each episode of pneumonia, please provide the approximate age at the time of the episode and whether you were hospitalized
  
Numeric Values
To be recorded for each episode of pneumonia experienced by the participant/subject. Age can be collected in years but should be converted to months for data sharing purposes.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Pneumonia episode age value
 
Free-Form Entry
       
C08101
Pneumonia episode hospitalization indicator
PneumoniaEpisdHospitalInd
Indicator of whether the participant/subject was hospitalized for the pneumonia episode
Hospitalized
Yes;No;
Yes;No;
Alphanumeric
Answer for all episodes of pneumonia experienced by the participant/subject.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Pneumonia episode hospitalization indicator
 
Single Pre-Defined Value Selected
       
C08114
Meningitis or encephalitis history indicator
MengtisEncphtisHistInd
Indicator of whether the participant/subject has ever had meningitis or encephalitis (brain infection) diagnosed by a physician
Have you ever had meningitis or encephalitis?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If No is answered, End Questionnaire
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Meningitis or encephalitis history indicator
 
Single Pre-Defined Value Selected
       
C08115
Meningitis or encephalitis diagnosed type
MengtisEncphtisDiagnsdTyp
Type of meningitis/encephalitis that participant/subject was diagnosed with
Please note which condition was diagnosed
Meningitis (including spinal meningitis);Encephalitis;Both (including meningoencephalitis);Not sure if diagnosis was meningitis or encephalitis;
Meningitis (including spinal meningitis);Encephalitis;Both (including meningoencephalitis);Not sure if diagnosis was meningitis or encephalitis;
Alphanumeric
Answer only if previous question was answered Yes
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Meningitis or encephalitis diagnosed type
 
Single Pre-Defined Value Selected
       
C08116
Meningitis or encephalitis episode age value
MengtisEncphtisEpAgVal
Participant's/subject's age at the time of the meningitis or encephalitis episode
Age at the time of meningitis/encephalitis?
  
Numeric Values
Please provide your approximate age at th time of the episode and whether you were hospitalized.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Meningitis or encephalitis episode age value
 
Free-Form Entry
  
year
    
C08117
Meningitis or encephalitis episode hospitalization indicator
MengtisEncphtisEpHospInd
Indicator of whether the participant/subject was hospitalized for the meningitis or encephalitis episode
Hospitalized
Yes;No;
Yes;No;
Alphanumeric
Please provide your approximate age at th time of the episode and whether you were hospitalized.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Infection History
Epidemiology/Environmental History
Participant History and Family History
Meningitis or encephalitis episode hospitalization indicator
 
Single Pre-Defined Value Selected
       
04-29-2017
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